Organization
PATHWAYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA PORTER (CREDENTIALING MANAGER)
(660) 890-8156
Entity
Organization
Contact information
Practice address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
(816) 318-3001
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
(816) 318-3001
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
012098
MO
Other
Enumeration date
02/04/2010
Last updated
01/24/2019
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